HomeMy WebLinkAboutFriends of Lisa Grayson - 2017 30-Day Post-Primary Commonwealth of Pennsylvania
Campaign Finance Report PAGE 1OF
(COVR PAGE
•
(NOTE: This report must be clear and legible. It may be t ped or printed in blue or black ink.)
Filer Identification Report 1 2. 3.
Number: Filed by: CANDIDATE COMMITTEE 1 LOBBYIST
Friends of Lisa Grayson
Street Address: 161 SHATTO DRIVE
City:CARLISLE State: PA Zip Code: 17013
TYPE OF 6TH TUESDAY 1. 2ND FRIDAY 2. / 30-DAY 3. AMENDMENT YES NO
REPORT PRE-PRIMARY PRE-PRIMARY Y POST PRIMARY REPORT?
6T1-1 TUESDAY 4. 2ND FRIDAY 5. 30-DAY 6. TERMINATION YES NO ✓
(place X to PRE-ELECTION PRE-ELECTION POST ELECTION REPORT?
the right of ANNUAL 7, YEAR FILING METHOD 101.
report type) REPORT bo. 2017 ( ,, )CHECK ONE PAPER ✓ DISKETTE
Name of Office Sought by Candidate: DATE OF ELECTION District Office Party County
MO. DAY YEAR Number Code Code Code
REGISTER OF WILLS 0TH REP 21
5 16 2017
(SEE INSTRUCTIONS FOR CODES)
Summary of Receipts
MO. DAY YEAR FOR OFFICE USE ONLY
MO. DAY YEAR
and Expenditures from: ► 5 2 2017 To 6 5 2017 C) No
A.Amount Brought Forward From Last Report $ 0.00 CO C
rn C
B.Total Monetary Contributions and Receipts(From Schedule I) $ — 7-1r—• _
C.Total Funds Available(Sum of Lines A and B) $ '— CJl
L7 ....V
D.Total Expenditures(From Schedule III) $ -- =
0
E.Ending Cash Balance(Subtract Line D from Line C) $ — C r>.?
F.Value of In-Kind Contributions Received(From Schedule II) $ 400.60 ---i
C.11
G.Unpaid Debts and Obligations(From Schedule IV) $ 21,726.00
AFFADAVIT SECTION
PART I—If this is a Committee report,treasurer sign here. If this is a Candidate report,candidate sign here.
I swear(or affirm)that this report,including the attached schedules,on paper or computer diskette,are to the best of my knowledge and belief true,correct and corn lete.
r
Sworn ttto/an/d subscribed before me this A.:4 �j�T' da �� 20/7 G
/ Signature of Person Submitting Report
// //i /_,C) Katharine McDowell Lively
Signal e A
0 _ _
M L , SALT- II 'ENNSYLVANIA Printed Name
My commission expires .. "O `""`r`•') SEAL (717)226 ssss
War{iiS.7eiglerRNntary PukItn Area Code Daytime Telephone Number
Carlisle Bora.Cumberland County
PART II-If this is a report of'41601iiitinifttNitifiZadpiiii041148, ndidate shall sign here.
I swear(or affirm)that to the best of my knowledge and belief this political committee has not violated any provisions of the Act of June 3,1937
(P.L.1333,No.320)as amended.
Sworn to
and subscribed befo-me this /
1 ) o ,
d. •f ,.....i..1.1.. 201
Signature of Candidate •
,l// Q,t.� sa Grayson
Si �r Printed Name •
?„ 0.1/ � ,76/8 (717) 580-1254
My commission expires (��1fL!
CrIAAMf W a/ ' !a VANIA YR' It---Li
Area Code Daytime Telephone Number
NOTARIAL SEAL •
Wanda S.Zeigler,Notary_Public
Carlisle Boro,Cumberland County
My commission expires April 20,2018
Page of 9
SCHEDULE II
IN-KIND CONTRIBUTIONS AND VALUABLE THINGS RECEIVED
USE THIS SCHEDULE TO REPORT ALL IN-KIND CONTRIBUTIONS OF VALUABLE THINGS
DURING THE REPORTING PERIOD.
Detailed Summary Page
Name of filing committee or Candidate Reporting Period
Friends of Lisa Grayson From 5/2/2017 To 6/2/2017
1 UNITEMIZED IN-KIND CONTRIBUTIONS RECEIVED,�VALUE OF.$50 0O ORTEs PER CONTRIBUTOR sx
.. ,�s . ..u. ate 41.4w-
TOTAL
, afes,
TOTAL for the Reporting Period (1) 1$
2IN KIND"CONTRIBUTIONSFRECEIVEDVALU , OF,'$$50 0:1 TO$ CIO(FROINITART
TOTAL for the Reporting Period (2) I $
3 IN-KIND CONTRIBUTIONS RECEIVED VALUE OVER$250.00 (F,ROMPAART Wmr '7
TOTAL for the Reporting Period • (3) I $ 400.60
TOTAL VALUE OF IN-KIND CONTRIBUTIONS DURING THIS
REPORTING PERIOD (Add and enter amount totals from boxes 1, 2, $ 400.60
And 3; also enter on Page 1, Report Cover Page, Item F.)
•
DSEB-502(7-99)
Page" of
SCHEDULE II
PART G
IN-KIND CONTRIBUTIONS RECEIVED
VALUE OVER$250.00
Name of filing committee or Candidate Reporting Period
Friends of Lisa Grayson From 5/2/2017 To 6/5/2017
DATE AMOUNT
Full Name of Contributor 15A(5ge'',-73>A1'.,71 WEAR ;a
Republican Party of Pennsylvania 5 12 2017 $ 400.60
Mailing Address ,Mat,W :OA1 I EAR>w-
112 State St $
City State Zip Code(Plus 4) ;:,.7;F.:1140at OAY,>>s-�tiYEAR
Harrisburg PA 17101-0000 - $ -
Employer of Contributor Occupation
N/A PAC
Employer Mailing Address/Principal Piece of Business Description of Contribution
same Campaign Literature&Postage
Full Name of Contributor MOnDAYeEAR;;
$
Mailing Address MO's .laAY; P YEAR:
$
City State Zip Code(Plus 4) ,!1.40,moblo
Employer of Contributor Occupation
Employer Mailing Address/Principal Piece of Business Description of Contribution
Full Name of Contributor 62:$410m,;7'4-DAY"' Y.EAR-%^% $
Mailing Address :::40007e':': DA1'' ;EAR $
City State Zip Code(Plus 4) 'SMO/'•; DAX "°`YEAIY $
Employer of Contributor Occupation
Employer Mailing Address/Principal Piece of Business Description of Contribution
Full Name of Contributor MO . G}A •"YEARItt
$
Mailing Address Mme'; + V.k.==.,EAR:J'
$
City State Zip Code(Plus 4) MO. DAVM YEAR:
Employer of Contributor Occupation
Employer Mailing Address/Principal Piece of Business Description of Contribution
Full Name of Contributor MO --."OttAYPA YE.AR ..
Mailing Address 4.9050 MAY=qYEAPO
$
City State Zip Code(Plus 4)
Employer of Contributor Occupation
1
Employer Mailing Address/Principal Piece of Business Description of Contribution
PAGE TOTAL
Enter Grand Total of Part G on Schedule II, In-Kind Contributions Detailed $ 400.60
Summary Page, Section 3.
DSEB-502(7-99)
•
Page r of 7
SCHEDULE IV
STATEMENT OF UNPAID DEBTS
Use this Section to itemize all unpaid debts and obligations
Which are outstanding at the end of the reporting period.
Name of filing committee or Candidate Reporting Period
Friends of Lisa Grayson From To 6/5/2017
Name of Creditor Outstanding Balance of Debt
LISA GRAYSON $21,726.00
Mailing Address MO. DAY YEAR
161 SHATTO DR
City State Zip Code(Plus 4)
CARLISLE PA 17013-0000 -
Description of Debt
carry over debt from prior reporting period
Name of Creditor Outstanding Balance of Debt
$
Mailing Address MO. DAY YEAR
City State Zip Code(Plus 4)
Description of Debt
Name of Creditor Outstanding Balance of Debt
$
Mailing Address MO. DAY YEAR
City State - Zip Code(Plus 4)
Description of Debt
Name of Creditor Outstanding Balance of Debt
Mailing Address MO. DAY YEAR
City State Zip Code(Plus 4)
Description of Debt
Name of Creditor Outstanding Balance of Debt
$
Mailing Address MO. DAY YEAR ,
City State Zip Code(Plus 4)
Description of Debt
Name of Creditor Outstanding Balance of Debt
$
Mailing Address MO. DAY YEAR
City State Zip Code(Plus 4)
Description of Debt
PAGE TOTAL
Enter Grand Total of Unpaid Debts on Page 1, Report Cover Page, Item G. $ 21,726.00
DSEB-502(7-99)